Three to five years after completing a 3-month coordinated rehabilitation program, most patients with acquired brain injury reported stagnation or deterioration in their quality of life and expressed an unmet need for continued rehabilitation.
Observational (n=17)
No
Does the cessation of coordinated rehabilitation lead to a deterioration in quality of life and unmet needs in patients with acquired brain injury?
Patients with acquired brain injury require long-term follow-up and continued rehabilitation to maintain functional gains and quality of life achieved during initial coordinated interventions.
Objectives: The article points out the importance of coordinated rehabilitation in the personal social environment of people with acquired brain injury (ABI) after discharge from the treating medical facility. We compared the client's/patient's subjective perception of their quality of life and special needs several years after ABI to those same items immediately after the coordinated rehabilitation period. Methods: The research was designed as a qualitative pilot study with auxiliary quantitative indicators. It was a longitudinal six-year study, concluded in April 2021 with a computer-assisted telephone interview (CATI) to determine the status and needs of participants. There were 17 client/patient participants. Results: Research suggests that if therapy after ABI is not continued, clients/patients often reverse the gains made during 3-month coordinated interventions and, according to WHODAS 2.0, can return to pre-intervention levels within a year. Three or more years after ABI, clients/patients subjectively perceive that improvement in their condition has stagnated or has only slightly improved, and most reported a deterioration in their quality of life. Conclusion: While participants were coping with their ABI, it was clear that long-term follow-up involving rehabilitation or at least longer-term professional help and support was desperately needed to help clients/patients maintain their initial improvements.
Kuželková et al. (Tue,) conducted a observational in Acquired brain injury (n=17). Coordinated home rehabilitation vs. Baseline/immediate post-intervention (longitudinal comparison) was evaluated on Subjective perception of quality of life (WHODAS 2.0) and special needs 3 to 5 years after completion of coordinated rehabilitation. Three to five years after completing a 3-month coordinated rehabilitation program, most patients with acquired brain injury reported stagnation or deterioration in their quality of life and expressed an unmet need for continued rehabilitation.
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